HomeMy WebLinkAboutR 2017-514-E AMS - The Water Specialist to install water filtration system to existing well DocuSign Envelope ID: 1 DE4E8C1-837F-42D1-B56B-39F84301386C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: The Water Specialist Party/Vendor Contact Person: Shane (Shane @thewaterspecialist.com)
Contact Phone: 919-732-1578 Party/Vendor Address: 608 Cornerstone Court City Hillsborough State: NC Zip:
27278 Department: AMS Amount: $11,453.05 Purpose: Install water filtration system to existing well to lower the
iron and hardness levels Budget Code(s): 61370035-883000-10016 Vendor # 64736 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑
Effective Date 9/12/17 Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature 4 Date: 9/8/2017
Asset Management
(Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction
services content and specifications:
Office of the Asset Management Directo °" Date: 9/$/2017
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Officer atria Co""`flo Date: 9/$/2017
Financial Services
l " This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
1/ Act:
Office of the Chief Financial Officer el 4°"6" Date: 9/12/2017
7NEM 81 ACO1409._
Legal Services
This agreement is approved as to legal form and sufficiency:
U(�,�olun.rebi,vfs 9/14/2017
Office of the County Attorney t EA.o„EOBAass_ Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Revised 2/17 6